The ACT RN is a whose primary responsibilities include: at the guidance of the ACT team leader, the ACT Team Member functions as a member of the multidisciplinary team rather than an individual practitioner. An ACT mental health professional assesses, plans, develops, coordinates, and directly provides flexible treatment, rehabilitation and support services to individuals who have the most serious symptoms of mental illness and who consequently have the greatest difficulty with basic daily activities such as keeping themselves safe, caring for their basic physical needs, maintaining a safe and affordable place to live, maintaining sobriety, and other activities of daily living. Rather than brokering services, the team itself is the service delivery vehicle, and assumes direct responsibility for providing the specific mix of medically necessary services required by the persons-served, if there is a need. The Team ensures that services are available 24 hours per day, 7 days per week. This position promotes recovery-based, person-centered, and culturally competent practices.
ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:
This is not intended to be an exhaustive listing of job functions. This job description in no way states or implies that these are the only duties to be performed by this employee. The employee is required to follow any other instructions and to perform any other duties as assigned by management.
Regular and predictable attendance is an essential requirement of this position.Support and encourages the Population served to reach their full potential.Embrace the concept of Recovery by providing a stable and safe environment.Support the engagement of meaningful activities by coordinating and monitoring service activities such as a job, school, volunteerism, family caretaking, for persons served.Functions as a team member rather than an individual practitioner, knowing and working with all persons-served and their family to recommend strategies for recovery.Promote a recovery centered environment and provide referral to appropriate community resources.Know the contract requirements for your program/service.In concert with the persons-served and other Team members, develop Treatment Plans, using person-centered processes in identifying needs and setting goals.Maintain consumer records-meeting all appropriate standards according to company policies and all regulatory bodies.Ensure that 100% of his/her training requirements are renewed prior to expiration date, as specified by jobs.Cross-train with other members of the ACT team to provide direct services which include, but are not limited to: rehabilitation, daily living activities, family supports (crisis management-supporting parents-counseling family members), health living activities, counseling, therapy, entitlements, access management, medication support, housing assistance, financial management, counseling therapy, access to community resources like food, clothing, developing natural resources and making contacts with social support networks.Coordinate and monitor services through comprehensive tracking of consumer activities and meeting with the consumer face-to-face several times per week.On a rotation basis, provide on-call crisis intervention services covering nighttime hours, as well as serve as a back up to evening and weekend staff.Participate in providing substance use and treatment services.Complete and submit Service Activity Logs (SAL's) in accordance with agency policy/protocolsManage the medication system including MAR oversight, medication storage, procurement, and drug destruction, as ordered.Screen and monitor consumers for medical problems and/or side effects.Engage in health promotion, prevention, and education activities including those surrounding pertinent psychotropic medications.Educate other team members to help them monitor psychiatric symptoms and medication side effects and adverse reactions.When consumers agree, with team approach and using recovery centered approach and motivational interviewing skills in development of strategies to maximize the taking of medications as prescribed e.g., behavioral tailoring, development of individual cues and reminders).Communicate and coordinate services with other medical providers, as needed[i]. If necessary, assist with health care navigation when complex medical conditions arise.Assist the psychiatric prescriber with upholding Hope Network policies and procedures surrounding safe and informed psychotropic prescribing, within their scope of practice. This includes assisting with the process of medication prior authorizations as needed, assist with refills, order labs according to protocol, and assist with tracking and coordinating completion of consumer blood draws, as able.Maintain CARF and regulatory standards including OSHA requirements.Withing the office and community, administer and document medication treatment including injections.Conduct consumer medical assessments and treatment appropriate screenings i.e., metabolic syndrome. Alongside the consumer and interdisciplinary team, assist with the development of wellness and health management skills within the treatment plan goals i.e., nicotine cessation.Other duties, as assigned.
Position Requirements:
Minimum – current license to practice as a registered nurse in Michigan.One Year or more of experience in a clinical or rehabilitation setting with persons with severe mental illnessMaintain a valid motor vehicle operator license with driving records acceptable according to Hope Network policy.Concepts of Motivational InterviewingIntegrated Dual Diagnosis TreatmentFamily Psycho EducationSeeking Safety, Family Psycho EducationStages of ChangeTrauma Informed CareRegistered Nurse (RN) –ability to be on call 24/7 and take on call approximately 6 days per monthAll ACT staff must obtain a basic knowledge of ACT programs and principles acquired through participation in MDHHS-approved ACT-specific initial training, and subsequent participation in at least one MDHHS-approved ACT-specific training annually thereafter. All initial training of ACT staff must occur within six months of hire for work in ACT[ii]
[i] Substance Abuse and Mental Health Services Administration. Assertive Community Treatment: Training Frontline Staff. DHHS Pub. No. SMA-08-4344, Rockville, MD: Center for Mental Health Services, Substance Abuse and Mental Health Services Administration, U.S. Department of Health and Human Services, 2008.
[ii] Improving Michigan Practices (2018). A Field Guide for Assertive Community Treatment.